Individual provider Active NPI

Laura Sharbash, D.D.S.

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1508130972
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02481500 Issued in NJ
Practice address
26302 La Paz Rd Ste 203
Mission Viejo, CA 92691-5328
Phone
(949) 586-5669
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02481500 NJ Primary

Addresses

Primary practice location

26302 La Paz Rd Ste 203
Mission Viejo, CA 92691-5328

Mailing address

3301 Michelson Dr Apt 1519
Irvine, CA 92612-7681
Phone (631) 838-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150424000614 NJ Order and Referring Only - DentistPractitioner - Dentist 7618296625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02481500NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James N Vartanian, DDS Inc CurrentSince Jul 21, 2024 Accepting new patients
Laura Sharbash, DDS, Inc Current Accepting new patients

Locations

26302 La Paz Rd
Ste 203
Mission Viejo, CA 92691
Phone (949) 586-5669

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1508130972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 MICHELSON DR APT 1519",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127681",
            "telephone_number": "631-838-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD STE 203",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915328",
            "telephone_number": "949-586-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARBASH",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02481500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.